An expandable spinal implant is provided having first and second endplates hinged along one end and an expansion mechanism disposed therebetween configured to expand the first and second endplates from each other to provide a lordotic angle of up to 60 degrees. Various implants, systems and methods are disclosed.

A spinal interbody implant includes a shaft extending along and rotatable about a central axis. The shaft includes a first threaded region. The implant further includes a first link having a first end with first gear teeth. The first end of the first link is fixed at a first point relative to the central axis such that the first gear teeth engage the first threaded region.

A prosthetic intervertebral disc joint assembly for replacing at least a portion of an intervertebral disc between first and second adjacent vertebrae comprising: a first component 20, 120 for engaging a first vertebra, the first component having an intervertebral portion 20a, 120a insertable between adjacent vertebrae and having a bone-engaging side for engaging an endplate of the first vertebra and an inner side opposite the bone-engaging side, the inner side of the intervertebral portion 20a, 120a having an articulating surface 22, 122 comprising a generally convex surface; a second component 30, 130 for engaging a second vertebra, the second component having an intervertebral portion 30a, 130a insertable between adjacent vertebrae and having a bone-engaging side for engaging an endplate of the second vertebra and an inner side opposite the bone-engaging side, the inner side of the intervertebral portion 30a, 130a having an articulating surface 32, 132 comprising a generally concave surface; wherein the convex articulating surface 22, 122 of the first component is sized and shaped to pivot in the concave articulating surface 32, 132 of the second component, and wherein the first component 20, 120 further comprises a fixation portion 20b, 120b for securing the first component to the anterior side of the first vertebra, said fixation portion 20b, 120b extending from the trailing end of the intervertebral portion 20a, 120a of the first component and wherein the second component 30, 130 further comprises a fixation portion 30b, 130b for securing the second component to the anterior side of the second vertebra, said fixation portion 30b, 130b extending from the trailing end of the intervertebral portion 30a, 130a of the second component.

A joint spacer has first and second endplates, with each having a bone engaging surface, and at least two cams with an inclined cam surface positioned on an opposite side. First and second slides, each having ramps with an inclined surface are engaged with the cams of the endplate. The first slide has an angled portion at an end, and the second slide has a hinge portion. A threaded shaft has a hinge portion connected to the slide hinge portion, connecting the shaft to the slide, enabling the shaft to pivot. A nut is threaded to the shaft, and can contact and interfere with the angled portion of the first slide to drive the first slide with respect to the second slide. This results in engagement of the cams and ramps to drive the endplates apart to increase the spacer height.

An expandable fusion device capable of being installed inside an intervertebral disc space to maintain normal disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. The intervertebral implant may be configured to transition from a collapsed configuration having a first width and a first height to an expanded configuration having a second width and a second height.

An interbody spinal fusion cage for posterior interbody fusion procedures includes a superior member and an inferior member connected to each other via a joint. The joint allows the interbody spinal fusion cage to achieve lordosis even if implanted non-orthogonal to the sagittal plane. For example, the joint can be a hinge oriented non-normal to a longitudinal axis of the interbody spinal fusion cage, a polyaxial ball joint, and/or a universal joint. Complementary locking mechanisms, such as locking teeth or a ratchet-and-pawl arrangement, can be provided near the posterior ends of the superior and inferior members in order to prohibit the posterior ends of the superior and inferior members from separating from each other in situ. Bone holes can be provided in the superior and inferior members.

The present invention generally relates to an expandable interbody implant. Specifically, the present invention is an expandable interbody implant having an anterior and posterior wedge and opposing endplates. In some embodiments, a slot parallel to the wedge face may be located on each endplate, with a pin holding the endplates to the respective wedges. Additionally, in some implementations, lateral rails may extend from the anterior wedge to the posterior wedge. Furthermore, the expandable implant may include a locking mechanism configured to prevent unwanted collapse.

Devices and methods for orthopedic support are disclosed. The device can have a first rigid section hingedly attached to a second rigid section. The device can be curved or rotated around obstructions along an access path to a target site. The device can be delivered to an intervertebral location in a patient.

Hip arthroplasty trial systems and associated medical devices, methods, and kits are described that can be utilized in situ to complete a femoral head trial. An example embodiment of a hip arthroplasty trial system includes a medical device and a femoral stem. The medical device has a head member, a spacer, a shaft, and a locking member. The spacer is disposed within the head member and is moveable from a first position to a second position. The shaft is disposed within the head member and contacts the femoral stem. The shaft is moveable from a first position to a second position. Movement of the shaft from the first position to the second position moves the spacer from its first position to its second position. The locking member is disposed within the head member and releasably attaches the shaft to the head member.

Expandable spinal fusion devices, systems, and methods of using them are provided, and they can be inserted in a subject in a collapsed state through a small surgical corridor, and the expand cephalocaudal only, transverse only, or in both directions, in which direction of expansion can also be obtained independently, if desired, after the insertion. These inventions are valuable in reducing risk and surgical complexity, allowing for an on-the-fly selection of a desirable width footprint, a desired control of height expansion through a gradual cephalocaudal expansion, and a desired control of the alignment of the adjacent vertebral bodies. Devices, systems, and methods are also offered to provide a desired control of the contact area desired between the device and the upper and lower vertebral endplates achieved, for example, using an interdigitated endplate system.